DevPROM
Research type
Research Study
Full title
Development and Validation of a Patient Reported Outcome Measure Assessing Lower Limb Joint Function
IRAS ID
207639
Contact name
Simon P Frostick
Contact email
Duration of Study in the UK
1 years, 9 months, 1 days
Research summary
Summary of Research
Patient Reported Outcome Measures (PROMs) are standardised questionnaires that reflect a patient’s health-related quality of life. They can include areas like pain, sleep function and physical functioning. They serve to provide a standardised medium where patients can communicate their current health status to their clinicians. Additionally, they can be used over time to assess a change in health status. PROMs have been implemented for use in the National Health Service (NHS) to facilitate the comparison of performance and quality data of healthcare providers. They importantly provide a forum for discussion which can have an effect on their care.
Previous outcome measures, for example the oxford hip score and oxford knee score have limitations that result in an inadequate reflection of patients’ mobility levels. They also do not tell us about any factors that may have contributed to a change in mobility levels outside of the contribution from their osteoarthritis.
The aim of this research is to develop and validate a novel outcome measure that holistically assesses mobility in osteoarthritics.
The study comprises of
(1) Development: the generation and reduction of questions to be used in the outcome measure by individual semi structured interviews, literature review and a Delphi analysis.
(2) Pilot: both quantitative and qualitative properties of the outcome measure will be tested. Individual semi structured interviews will be conducted to ascertain the outcome measures qualitative properties for example, layout, comprehensibility and relevance. Quantitative piloting will test out the outcome measures psychometric (measurement) properties on a small scale.
(3) Validation: which will evaluate each questionnaire’s full psychometric properties on a larger scale.
The development stage will be done as a part of an MPhil degree at the University of Liverpool.Summary of Results
Patient Reported Outcome Measures (PROMs) are standardised questionnaires that reflect a patient’s health-related quality of life. They can include areas like pain, sleep function and physical functioning. They serve to provide a standardised medium where patients can communicate their current health status to their clinicians. Additionally, they can be used over time to assess a change in health status. PROMs have been implemented for use in the National Health Service (NHS) to facilitate the comparison of performance and quality data of healthcare providers. They provide a forum for discussion which can have an effect on their care. Previous outcome measures, for example the Oxford Hip Score and Oxford Knee Score have limitations that result in an inadequate reflection of patients’ mobility levels. They also do not tell us about any factors that may have contributed to a change in mobility levels outside of the contribution from their osteoarthritis.
The aim of this research was to develop and validate a novel outcome measure that holistically assesses mobility in osteoarthritics. The study comprised; (1) Development: the generation and reduction of questions to be used in the outcome measure by individual semi-structured interviews, literature review and a Delphi analysis. (2) Pilot: both quantitative and qualitative properties of the outcome measure were tested. Individual semi-structured interviews were conducted to ascertain the outcome measures qualitative properties for example, layout, comprehensibility and relevance. Quantitative piloting tested the outcome measures psychometric (measurement) properties on a small scale. (3) Validation: evaluated each questionnaire’s full psychometric properties on a larger scale.
The study contributed to two MPhil degrees at the University of Liverpool (awarde 2018 & 2022).REC name
North West - Haydock Research Ethics Committee
REC reference
16/NW/0534
Date of REC Opinion
14 Jul 2016
REC opinion
Favourable Opinion